Laxmi Kumari-010916010008

A division of
OM Computer Training Institute
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : E-84, Gali No. 4, New Ashok Nagar, Near Dashmesh Public School, Vasundhra Enclave, New Delhi, 110096
Application Form

Student Details

Name of Candidate : Laxmi Kumari
Reg. No. 010916010008

Student Photo Not Available
Mother's Name : Putul Devi
Father's Name : Ravindra Mandal
Date of Birth * : 15-Mar-2002
Gender : FEMALE
Nationality : INDIAN
Present Address : Hosiyarpur Sec. 51 Gautam Buddha Nagar Noida
Mobile No. : 9289782370
Email Address : laxmikumari1364434@gmail.com

Course Details

Course Name /Code : Advance Diploma in Computer Application (ADCA)
Course Duration : 12 Months

Attached Document

Identity Proof : Sorry No Attachment
Educational Certificate : Sorry No Attachment
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: , Gautam Buddh Nagar
Date : 01-Jan-1970

Signature of Student

Center Details

Center Code : 10916010

Verified By
Center Name : OM Computer Training Institute
Center Address : Gijhore Sec. 53, Noida, U.P., (Gautam Buddh Nagar)
ID Proof
Educational Proof